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BUILDING- INSPECTOR RECORD SITE-WORK Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathing Shear Wall Framing lns u lation/E nergy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL Q1-/ 7 J/rSu.'i'?") Certificate of Occupancy Notes, Remarks, Elc Or6-thildri D.(t .lrn I h.r.6y .rlirm und6 p.dlry of Frurt rhr I .m d.mF lorm .hG Conrdotr l.e.* lrw lor rh. lollo*rA ra$n {B 70 t I t tt.JE* .d Pret6eEn Cod.) Any( ny or (tdy *hi.h i.quiB r pdd't looBrM..16. 'npm!., d.mlBh or cprn !, MruG. Frtr to ilr nsuft.,.h. r.qun6 ih. rppl'..d for luch Fhit to nlc. sismd nr@nr rhi lt or.tE a li..ed puBu, ro tL p|!!n.6.frlE Conddore l-8.6.d l,e lcl!,{a t. conh.ftms * h S6lEn 70m oa DMrbn l oa rh. aunn63 .,n Prof63hs cod.t or rll.r h. o. rh. aciopr ilmfrom.id rh. b.r! lor rh. .lL!.d .ropl a,n Any rsllrkrofs.dhn )0ll 5 b!&y.tDli..nl forrFhn rubiclr rlE .ppli<.Jn to !.ivil p. hyofmr mr. rh.n fiv. hundr.rl d,olh6 (t50o) l.is owMofrh.pdr.ny.ornry. pk,y6wirhr!96.i th.u$1...n!o.nsri)n. *rlldorh.$orlddih. ntu.!u. s norinr.nd.d orolT.r.df.r{l.lS(70.14.B!r'ne!t.ndPro|*rnsCodcThc(onkrcr,\l-'..n!.r.,wdo6nor,pplyr.rnox.dolrh.pNpdy who builds or irnp0v6 rh6.oo. ind sho do.r srch work himkllor h.R.llor rhrouxh h'r or h.r own.mployc.s, provid.d rhlt such impro!.m.nrr. dor i.r.nd.dorolt Ed nnsil..ll how.v.r.lh. buildingornnpro\.nrnr 6 30ld wirhidon y..rol.omnlction,rh. 6n cBurld.r $ill h!r. rh. hurd.n ofnnn inA Ihlr h. or sh. nor bu,ld or impruE for lh. plrlFs. ofsl.). l. c oc n6 of rh. pmpdy. rn .rcluriv.ly conrd.rirs snh [c.ed conr.dotr r] oBrrucr th. Fo).d ( Ss 7or:l. AGin6r ud PFfcsbn Co!. Th.(ontrd6r'r l.r.nFL* dodrcrrpplyromow olpropdvrho borldror tmprov6 rhdon , .nd rho ont d.fo. !u.h ?rotcrt ! h. Co.ardo(.) hc.nr.d puBu.r ro rh. Coturqoar L{.nr L.* , I m.rmpr uflla S..r.n \\(|RxERS COITPFNSATION Dti( t-ARAt',tOtt I h.r.by.mrn lnrl.r p.ulry of p..lory o.. ofth. f.llo*int d6l-arruN I h.r.lod{rllmrinrlr ! C.ninclt. of (oNcnr ro S.lf-lnrur.lor *orl.a' .on{.nsr 'oh. !s lrov'd.d ror by sarrn rTrr ofrh. LrborC.d.. forlh.pc.lonn.n..ofrh. work lor ehi.h ih. lnnrir is ilro.d I h.v.rnd q'll m]nt'n uult.r! smp.NrDn rnsur.c.,.s r.qurcd 6y S..!on l7{$oarh. hbor (od., for th. p..lohun...lrh. *orl tor uhrh rh'r psmn E '$u.d Mv*orl.B conrD.nnton rNunnc. c.di.r .nd polEy nunbd ri. Polty Numb.r: Frpr6 ( T1|n Kion m.d mr b. ..mrkr.d if th. rErmn ii br ()rE hurdr.d dolLB ll I ml or L!) I .d'ry lhrl r rh. F,oruE. of 'h. *.rt for shth ihn p.mil B irwd, I rhlll n dlpk'y m) p.Mn in rny tunnd $ a h bcrm. subJd to rh. mrlcr' @mp.n-r.n LM oaC.hforn(.id rsrd tli 'll lhould b.6m.ubJer ro rh. mrl6a .omp.@ri6n pr.ririo6 of s{nrn 1Il0 of rlr L.bor Co<lc. I thlll, lonnsnh.otrply r nh rhok pmvtion5. WARNINC f!' lur. k' t(ur. uorl.( .o'np.ns!l mn coven!. ! un|llir l, ind ,ha ll .u blcr .n .nrployd ro rimmll p.ult '.s lnd (, r n li.6 up lo on. hundr.d rhou$nd dolhE (l l(x).000).in iddilion to Ih. co* ol coml).nstion. dlnrB.s a providcd for rh. sdnr! 1076 ol rh. trborCod.. 'nr.r6r rnn rrhh.yi f*s ll(.!:lsl:o-coNla^(faai rgaaarla.N I h.rch, inim und.r p. hy.f p.rrury rh.t I m li..n$d und6 Dro\ Bnn ol ( h.prdq(conrmcncinr*irh S<rion 7u)olollrltk)n.1{a lht BBin6Dd ProtBlFc(ii.. rnd mv tu.E ii h tullaor..$d.rTe! (O!SIB!SIA!-LE!DI!Ii.ACE!(I I hdby tfm und6 p.ul'y or Fjury rhr' thf. ir r.odrvdion l..ding.,Ger f.r rh. pdfolrimc. orrh. *6rt lor sh(h rhit p.m( i. nru.d (s* 1097.civ c ) ArrnsaM.t-p-EgdaarJaN D.nohirn PdnrlAslE tr Nolific.rhn r.dd.l ReuLrir.r I Tirk aD, Pd 6) R.qun.d Ldrd 6f N.t6.irn I cdit rhl dE a.rl6!1..*uhr'o.3 r.srd'ns Bb6r6 rm\il!. tul et'h..bl.t, rhE Fn).d I cdri rh.! I h.r.r. rhB.p,ri(.rNnmd rhd rlE ftol. inforndsn i..on.ri I.3c kr.orplt $ith dl ( irtxd Counrl ordffE6 and S[rc l,t io.. i.d hd.b'.urlkrr. rpreni&{d ofrh6 Ciry ,f^3 M \WP51\Permit-lnsp€clLon ng'lnsp€clion Record doc 03 31 06 DATE I rD/SrG. COMMENTS I Subfloor/VenVlnsul. I I